Registration Form

If you have more than one child attending, please complete a registration form for each child. Child must be 4 years of age or older.

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* 1. Parent/ Legal Guardian’s Name (First and Last):

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* 2. Parent/ Legal Guardian’s Phone Number:

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* 3. How many children will be attending?

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* 4. Emergency Contact Name (First and Last):

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* 5. Emergency Contact’s Phone Number:

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* 6. Child’s Name (First and Last):

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* 7. Child’s Age:

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* 8. Any allergies? (Food, dietary restrictions, insect stings, etc.)

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* 9. If yes, please list:

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* 10. What days will the child be attending? (Please select all that apply)

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